Cystic ovarian pregnancy

Ovarian dysfunction is a disease, and it is a rather cruel disease for girls. Because if PCOS is not treated then a woman cannot become a mother. The main symptom of polycystic ovary is irregular menstruation, and if it is serious, you may experience lower abdominal pain, nausea, etc. Polycystic ovary disease must be treated as early as possible, because with this disease, you will not be able to get pregnant.

(1) Obesity Obesity accounts for 30% to 60% of PCOS patients, and its incidence varies depending on race and dietary habits. In the United States, 50% of women with PCOS are overweight or obese, while reports of obese PCOS in other countries are relatively rare. The obesity of PCOS is manifested as central obesity (also known as abdominal obesity), and even non-obese PCOS patients show an increased proportion of perivascular or omental fat distribution.

(2) Infertility: Due to ovulatory dysfunction, the pregnancy rate of PCOS patients is reduced and the miscarriage rate is increased. However, it is not clear whether the miscarriage rate of PCOS patients is increased or whether miscarriage is the result of being overweight.

(3) Obstructive sleep apnea is a common problem in PCOS patients and cannot be simply explained by obesity. Insulin resistance has a greater predictive effect on dyspnea during sleep than age, BMI or circulating testosterone levels.

(4) Depression: The incidence of depression in PCOS patients is increased and is associated with high body mass index and insulin resistance. The patients' quality of life and sexual satisfaction are significantly reduced.

1. Cushing syndrome

There are various causes of adrenal hyperfunction. Typical manifestations include moon face, buffalo hump, centripetal obesity, purple skin striae, hirsutism, acne, hypertension, osteoporosis, impaired glucose tolerance, skin pigmentation, and often accompanied by virilization. Laboratory tests showed that the normal circadian rhythm of plasma cortisol was lost and urinary free cortisol was increased. The overnight low-dose dexamethasone suppression test is a simple method to screen for this disease. If cortisol decreases by 50% (L) after medication, Cushing's syndrome can be ruled out. If cortisol is >390nmol/L and there are no factors that cause false positives, it may be Cushing's syndrome.